KETERKAITAN TINGKAT STRES, KUALITAS TIDUR, DAN FREKUENSI KONSUMSI ULTRA-PROCESSED FOOD DENGAN STATUS GIZI REMAJA PUTRI

Abstract

Adolescent nutritional status may reflect multiple behavioral and psychosocial factors, including perceived stress, sleep quality, and ultra-processed food (UPF) consumption. This cross-sectional study examined their bivariate associations with nutritional status among 74 grade-XI female students at SMA Negeri 1 Cikarang Selatan, Indonesia. Stress was assessed using the Perceived Stress Scale-10, sleep quality using the Pittsburgh Sleep Quality Index, and UPF consumption frequency using a food frequency questionnaire. Nutritional status was classified using body mass index for age. Data were summarized descriptively and analyzed using two-sided Fisher’s exact tests, with unadjusted odds ratios (ORs) and 95% confidence intervals (CIs). Severe stress was reported by 66 students (89.2%), poor sleep quality by 68 (91.9%), and low UPF consumption frequency by 40 (54.1%); 59 (79.7%) had normal nutritional status. No statistically significant bivariate association was observed for stress (p = 0.347), sleep quality (p = 1.000), or UPF consumption frequency (p = 0.773). All corresponding 95% CIs for the ORs included 1. These findings do not establish the absence of associations, especially given the small comparison groups and lack of multivariable adjustment. School-based health promotion can address healthy eating, sleep, and stress management irrespective of weight status.